Lydia Hall: Care Cure Core Model 1

Summary

In this presentation, Megan Nicola explores Lydia Hall's Care, Core, Cure model, a holistic approach to nursing that focuses on individualized patient care. Hall's model emphasizes the interconnectedness of three key components: Care (bodily comfort and education), Core (emotional, social, and spiritual growth), and Cure (disease management). Hall’s research showed that patient outcomes improve when a primary nurse is involved in the patient's care journey. The model is illustrated through a case study, highlighting the different care needs at various stages of a patient's illness, from crisis stabilization to post-recovery self-management.

Takeaways

• 📚 Lydia Hall obtained her Nursing degree in 1927, a B.S. in Public Health Nursing in 1932, a Master's in Teaching in 1942, and completed all doctoral requirements except her dissertation.
• 🏥 Her career included roles in preventive medicine, staff nursing, teaching, research analysis, and founding a nursing and rehabilitative center.
• 🔬 Hall's research focused on rehabilitative nursing and the role of registered nurses in patient recovery and welfare.
• ⚠️ She observed fragmented hospital care, noting patients often felt depersonalized, highlighting the need for unit-based care over team nursing.
• 🤝 Hall emphasized that patient health outcomes improve when direct care is provided by a primary nurse.
• 🌱 The Care-Core-Cure model addresses three aspects: Care (body), Core (person), and Cure (disease), which are interrelated and change in emphasis based on patient progress.
• 💖 Nursing involves spiritual care and love, fostering meaningful relationships that patients can perceive positively.
• 🧠 Core care focuses on the patient’s social, emotional, spiritual, and intellectual development, encouraging self-identity and patient advocacy.
• 💊 Cure involves medical interventions and treatment provided by healthcare professionals, essential for stabilizing patients during acute phases.
• 🏡 The model also highlights the importance of supportive hospital and home environments to facilitate patient self-development and goal achievement.
• 📈 Patient care shifts depending on the disease phase, as illustrated by the example of a heart failure patient, where acute care emphasizes Cure and follow-up focuses on Care and Core.

Q & A

What is Lydia Hall’s educational background?

Lydia Hall received her nursing degree in 1927, her Bachelor's of Science in public health nursing in 1932, and completed her master's degree in teaching in 1942. She pursued a doctorate but did not complete her dissertation.

How did Lydia Hall’s career evolve throughout her life?

Lydia Hall started her career in a life insurance company focused on preventative medicine. She then worked as a staff nurse in two hospitals, became a professor teaching nursing, worked as a research analyst in cardiovascular disease, and later founded and directed a nursing and rehabilitative center.

What key observation did Lydia Hall make about nursing care?

Lydia Hall observed that nursing care in hospitals was fragmented, and patients often felt depersonalized. She noticed that nursing, physician, and patient interactions were often focused on the technical aspects of care, rather than the holistic well-being of the patient.

What are the two phases of care described by Lydia Hall in her model?

The two phases of care are: (1) The crisis phase, where the patient needs intensive medical therapy, and (2) The stabilization phase, where the patient is no longer in crisis and requires different forms of therapy.

How does Lydia Hall define the role of the nurse in patient care?

Lydia Hall believes that nurses should provide a holistic approach to care, emphasizing not just the physical but also the social, emotional, spiritual, and intellectual needs of the patient. Nurses play a crucial role in the therapeutic relationship and in facilitating the development of the patient's core self.

What are the key concepts of Lydia Hall’s care core cure model?

The core care cure model focuses on three aspects: (1) Core: The individual as a unique, growing person, (2) Care: Intimate, bodily care, comfort measures, and patient instructions, and (3) Cure: Disease-focused care, often involving physician orders and shared healthcare responsibilities.

What assumptions does Lydia Hall’s theory rely on?

Lydia Hall’s theory assumes that healing energy exists within the patient, rather than relying solely on healthcare providers. It also suggests that the three aspects of nursing—core, care, and cure—are interrelated and can change in size depending on the patient's progress.

How can the care core cure model be applied in a clinical setting?

In a clinical setting, the care core cure model can be applied by adjusting the focus of care based on the patient's phase in their disease process. For example, during a crisis phase, the focus would be on curing the disease (e.g., through medical interventions), while in the stabilization phase, care would focus on educating the patient and fostering self-care.

What does Lydia Hall mean by 'therapeutic use of self' in nursing?

The 'therapeutic use of self' refers to the nurse's ability to develop an interpersonal relationship with the patient that supports the patient’s emotional, social, and spiritual needs. It involves using one’s own personality and professional skills to foster trust and healing in the patient.

Can you explain how the core care cure model applies to a patient like Jim with heart failure?

In Jim’s case, during his acute heart failure exacerbation, the focus would be on the 'cure' aspect—using medical interventions to stabilize him. After stabilization, care shifts to the 'care' phase, where education and self-management strategies are implemented. Over time, as Jim becomes more knowledgeable about his condition, he takes a more active role in his health, embodying the 'core' phase of the model.